Epicur is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and persistent cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Epicur belongs to a class of drugs known as proton pump inhibitors (PPIs). If you are self-treating with this medication, over-the-counter Epicur products are used to treat frequent heartburn (occurring 2 or more days a week). Since it may take 1 to 4 days to have full effect, these products do not relieve heartburn right away. For over-the-counter products, carefully read the package instructions to make sure the product is right for you. Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients. Also, products with similar brand names may contain different ingredients meant for different purposes. Taking the wrong product could harm you.

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As these clinical features reminded us of the well-known paraneoplastic encephalomyelitis (PNEM) in adults, we looked for a tumour and found a pelvic neuroblastoma. CONSERVATIVE MANAGEMENT OF EXTREMITY FRACTURES IN PATIENTS WITH SPINAL CORD INJURY. Reproducibility and accuracy of the diagnosis of cervical intraepithelial neoplasia (CIN) in 15 Italian laboratories: a national pilot project. Although the argon laser left more adhesive on the tooth surfaces on debonding, there was no increase in enamel surface fractures.

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Normal anatomy of the hippocampus and adjacent temporal lobe: high-resolution fast spin-echo MR images in volunteers correlated with cadaveric histologic sections. Such regulation would require that dendritic RNAs themselves, or at least some of them, be subject to physiological control. In contrast, cells expressing crmA were protected from concanavalin A-induced apoptosis, but were as susceptible as control cells to apoptosis induced by staurosporine and oxidative insults.

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It was revealed that chemotherapy with these agents changed the interrelation between mitotic phases and somewhat enhanced the incidence of pathologic mitoses mainly connected with the damage of mitotic apparatus. MF-BIA predictions of compartmental hydration status were significantly correlated to measured/calculated decreases in these compartments. The aim of the study was to explore the factors surrounding modification of the first antiretroviral (ARV) regimen where drug switch occurred 3 months or more after initiation.

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GTs were imaged, serially sectioned and stained immunohistochemically with antibodies raised against E-Cadherin, Cytokeratin 7, 10 and 14. Medial approach for proximal tibia with a manual trephine seems to be a valuable tool to harvest autogenous cancellous bone grafts with simplicity, safety, and predictability. Here we report these cases and review similar cases in the literature. Therefore, choosing the second option is largely empirical and still not based on the best standards of evidence-based medicine, resulting in vague recommendations from guidelines.

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Localization of the human membrane type 4-matrix metalloproteinase gene (MMP17) to chromosome 12q24. Painless jaundice is one of the most common presentations of pancreatic head cancer.

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The technique is economical, especially when compared with the cost of functional magnetic resonance imaging and positron emission tomography. As to gainful employment and professional status several of them were less successful than their siblings and their parents. The purpose of this study was to determine the outcomes of primary angioplasty (PTA) vs primary stenting (PTS) in a dialysis access population at a tertiary referral academic medical center.

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The aim of this study was to investigate the predictors of the timing of alcohol consumption debut and to analyze possible associations between the timing of debut and later alcohol consumption and possible alcohol-related problems. The plots are useful for spotting outliers, spotting possible single gene effects, and displaying the contribution of individual twin pairs to the fit of genetic models of the data.

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The medicoeconomic data will be a decisive factor in the choice between these new strategies. Cellular uptake and protection against virus infection by polyinosinic-polycytidylic acid entrapped within phospholipid vesicles. However, the limited anterior thoracotomy used to access the heart involves trauma to the muscle tissue during removal of the fourth costal cartilage and a small piece of connected rib, perhaps leading to more severe postoperative pain compared with patients undergoing routine sternotomy. The features of both distributions are determined by breaks in the voltage gradient (the slope of monotonic voltage decay) at the sites of local non-uniformity of the dendritic geometry, such as abrupt change in diameter and asymmetric branching.

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An approach to rationalize these data by oscillation rheometry is shown. Auditory cues for orientation and postural control in sighted and congenitally blind people. LIM-homeodomain transcription factors (LIM-HD) regulate expression of genes that pattern the body and generate cell specificity during development in invertebrates and vertebrates. Some previous studies have proposed a relationship of CMV gB genotype to the frequency of symptomatic infection and to clinical outcomes in both transplant and human immunodeficiency virus-infected populations.

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Serum immunoglobulin levels in suckled beef calves: quantity or quality? Instead, it prevents unfolding of the protein by structuring the solvent. We determined the association of sCD154 with coronary calcium and carotid plaque at the baseline visit of the Lupus Atherosclerosis Prevention Study. Effects of on/off anabolic hPTH and remodeling inhibitors on metaphyseal bone of immobilized rat femurs. We studied 932 couples in which the woman had no identifiable infertility factor and the man had motile sperm.

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The same pattern was detected in the infiltrate in the primary tumor. Obstruction of the thoracic duct by enlarged lymph nodes or fibrosis is the probable cause of chylothorax in this case. Hepatic cryotherapy has emerged as a viable therapeutic option in the treatment of liver tumors, both primary and secondary.

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One of the under-recognized effects of censoring is a regression to the mean, which leads to an apparent improvement in the outcome parameters assessed. Quantitatively, secretion from the ampulla is likely to predominate, because of its huge surface area compared with the isthmus. The data ruled out the possibility of any linkage between the PI, GC and the coat colour gene Crystal (Cr). However, classical methods of protein extraction for soft tissues and cells are not applicable for bone tissue. All tested transcription proteins were found in both the fibrillar center and the dense fibrillar component (DF) of nucleoli in human cells.

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Conversion of skeletal muscle glycogen synthase to multiple glucose 6-phosphate dependent forms by cyclic adenosine monophosphate dependent and independent protein kinases. According to this initial experience, laparoscopic surgery is a versatile and effective modality in the surgical management of inflammatory bowel disease in selected patients. Tissue-type plasminogen activator: a historical perspective and personal account.

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Treatment of digoxin intoxication model by hybrid-kidney with hollowfibre module for clinical haemodialysis. To determine the rotavirus proportion contributing to mortality due to diarrhea, we analyzed data obtained from a hospital-based mortality surveillance, conducted over 7 years, in the Ciudad Hospitalaria Dr. We reviewed 1855 eligible patients for possible risk factors of pneumonia and empyema. We isolated a sesquiterpenoid compound from the extract of Atractylodis Rhizoma Alba using the bioactivity-guided fractionation and identified it as selina-4(14),7(11)-dien-8-one (compound 1) with spectroscopic methods. The physiological responses measured during this experiment provide support to previous studies, that the lack of cardiovascular adaptation may be due to the low percentage of VO2(max)elicited by this form of training.

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Detection and isolation of nepoviruses on strawberry in the Czech Republic. Patient has been free from symptoms of pulmonary stenosis for 4 years after successful pulmonary artery stenting. Production of macromolecular chloramines by chlorine-transfer reactions. Viral hepatitis: enzyme assays and serologic procedures in the study of an epidemic. Structure and function of sodium-coupled GABA and glutamate transporters.

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Within seven years eleven patients have been treated in our hospital after this injury. In sharp contrast, substitution of the P2 residue of an M-site peptide changed its specificity constant to that of an R-site peptide substrate, and vice versa.

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These variations were indeed found to have a substantial impact on the (re)modeling dynamics and the load transfer mechanisms around the implants. It serves as a platform for studying the poorly understood process of germ cell allocation, imprint erasure and gamete formation, with 4-6 weeks being required to isolate PGCs as well as haploid cells.

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Is there any relationship between cold-induced vasodilatation and vasomotion? Recently it has been shown that the metabolic acidosis associated with kidney failure causes catabolism by increasing the degradation of muscle protein and of essential amino acids. The spectral analysis of RR interval variability during Hd and Hf suggests a potential autonomic advantage with Hf, to be added to the well-recognized intrinsic greater haemodynamic stability. In bacteria and mammals, m(1)A and m(3)C were recently shown to be repaired by AlkB-mediated oxidative demethylation, a direct DNA damage reversal mechanism. Patients and controls were free or affected by systemic or local predisposing factors.

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Histological examination showed fungal spores, which could be candida albicans. Role of phosphoribosylpyrophosphate availability and of salvage purine nucleotide synthesis. Left ventricular (LV) systolic function and the ability to perform activities of daily life significantly improved after ablation in patients with depressed LV function in both groups. Gastroenterology has emerged from paediatrics as a separate discipline after 1978, due to the development of basic sciences, i.e., biochemistry, immunology, pathomorphology and introduction of miniaturized endoscopic and radiological equipment.

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Pulmonary complications of haematopoietic cell transplantation in children. There were seven surveys involved with two samples each, and a 2006 questionnaire on the post-analytical phase survey. The strongest deviations from the normal and of longest duration. Compared to conventional electromyography, automatic interference pattern analysis provides quantitative results and has the higher sensitivity and specificity.

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The C2-C3 facet joints showed a high rate of degenerative changes. Analysis of the generators of epileptic activity in early-onset childhood benign occipital lobe epilepsy.

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Customary functional measurements were recorded, including anterior and posterior sphincter length, squeeze length, length of the high-pressure zone, and maximal resting and squeeze pressures. hyodysenteriae and vaccination against the disease still needs further attention. A protease was purified from the growing point of asparagus, Asparagus officinalis, using a cystatin-Sepharose column. Two hundred forty-four consecutive patients referred for stress echocardiography (exercise or dobutamine) for various clinical indications.

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Sixty-one patients who had experienced a first-ever stroke or transient ischaemic attack were assessed using standard self-report clinical measures for anxiety, depression and PTSD. In contrast, flies bearing the alanine eIF-2alpha mutant (HA) displayed a fast growth phenotype and females were significantly larger than nontransgenic control sisters. The purified protein was isolated by a three-step process involving DEAE-cellulose, Con A (concanavalin A)-Sepharose and laminin-Sepharose affinity chromatography and was used to raise a monospecific antibody.

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Three days after ligation of the common bile duct, there were major changes in the lipoproteins of rat serum. The present study suggests that the angiotensin-system is important in regulation of islet blood flow and points to a pivotal role of islet blood perfusion for an adequate insulin release. Alterations of the FHIT gene occur as frequent events in several human cancers.

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population pharmacokinetic parameters, including mean values, standard deviations, covariances and information on the statistical distribution, and 3. This study provides the first data on genetic analysis of MEN1 in Indian patients. Acute uric acid nephropathy following angiography and coronary artery bypass surgery.

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The interviews show the variety of reactions to PMs that one would expect, from parents who were clear that they did not want a PM to others who felt that they needed the information from the examination. However, increasing fractions of succinate and, to a lesser degree, glutamate were excreted into the incubation medium, indicating that these are probably the main carbon-containing compounds transferred from the symbionts to the host. Hemorrhage scores are not related to stock-dependent differences. Two and three days after the injury, morphological signs of an intense regenerative activity was evident.

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This work demonstrated the dominance of alpha-proteobacteria in distribution system water under two different disinfectant residuals. It is shown that transformation by SV 40 early region leads to a total loss of PDGF alpha-receptor and partial loss of beta-receptor mRNA.

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The local finding during the operation, the improvement of the paresis of ulnar nerve and the worsening of the polyneuropathy--found simultaneously at control after 2 and 4 years--confirmed our supposition. 39-year-old male patient presenting with the suspicion of sexually transmitted disease. Creating expectations: a first step toward pharmacist-patient confidentiality. Loss of cytokeratins in breast cancer cells using multiparameter DNA flow cytometry is related to both cellular factors and preparation procedure. Risk communication is about building trust while deploying an interactive and ongoing communication process in which audience members are active participants.

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This case highlights the association of rhabdomyosarcoma with neurofibromatosis type 1. Diet of racing sled dogs affects erythrocyte depression by stress.

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Subjects were be selected over a period of one week and had to agree to attend three visits. Although dizziness in the elderly is clearly multifactorial, the suggested importance of vertebrobasilar ischaemia warrants further consideration as vertigo has been shown to be a risk factor for stroke. An antireflux mechanism was performed in 35 patients and an afferent tubular segment was performed in the other 35 patients. Delirium, cognitive dysfunction and posttraumatic stress disorder.

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Against anti-health epidemiology: corporate obstruction of public health via manipulation of epidemiology. A sample of 29 patients was recruited from three medical wards of a large tertiary referral teaching hospital in Sydney, Australia.

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Natural history of pulmonary embolism observed during a 4-year period in a non-discriminayory Department of Internal Medicine, with reference to 7,843 admissions : 2 per cent of patients, 9 per cent of deaths, 22 per cent of post-mortem examinations. Neither TDC nor TUDC showed any effect on spontaneous lipid peroxidation of phosphatidylcholine liposomes or sodium arachidonate solution. This analysis and previous reports support the conclusion that S.

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Bereavement support groups for school-age children: theory, intervention, and case example. The focus of this article is to discuss these changes and highlight several current uses of the TRI database in environmental health research. This is followed by a descriptive section of robotic systems past and present and their use in different surgical specialities. The reactive airways dysfunction syndrome and occupational asthma due to irritant exposure are considered in the context of these results. More medical students, more stress in the medical education system.

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Results of 4 years of cytological detection of uterine neoplasms Because of a penetrating depth of a few millimeters and an ultrahigh tissue resolution, it qualifies for use in the larynx and might in the near future play an important role in the pre-, intra-, and postoperative investigation of early laryngeal cancer and its precursor lesions.

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When the three drugs were administered to groups of rats at 10 min before or after the exposure to nickel carbonyl, sodium diethyldithiocarbamate was the most effective antidote. Liquid crystal glasses: feasibility and safety of a new modality for treating amblyopia. The TATA binding protein (TBP) is a central component of the eukaryotic transcriptional machinery and is the target of positive and negative transcriptional regulators. The efficacy of ESWL in treating pediatric urolithiasis is confirmed.

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Pycnodysostosis: orofacial manifestations in two pediatric patients. A preventable case who died of miliary tuberculosis after receiving contact examination

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Particularly vulnerable are those that have low relatedness and gain little from cooperative breeding relative to solitary reproduction. Endoprosthetic replacement of the distal femur for bone tumours: long-term results. However, FB21 staining of interstitial blood vessels was very weak and was distinct from that of other endothelial markers. C-terminal to the heptad-repeats, MSP-3 contains a glutamic acid-rich domain followed by another heptad-repeat similar to a leucine-zipper motif.

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We suggest that the LX RNase has a role in RNA catabolism in the final stage of senescence, and LE may function during wounding as a plant defense protein. Eikonal calculations of electron capture by relativistic projectiles.

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The more that patients know before they are invited to participate in a trial, the better equipped they are to cope with the informed consent procedure. Seasonal and annual distribution of organic contaminants in marine sediments from Elkhorn slough, moss landing harbor and nearshore Monterey Bay, California. mRNA and protein for gelatinase A, stromelysin-1 and uPA were weakly induced, if at all, in hydrocortisone-treated mice.

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Angiography of cavernous hemangioma, AVM, chemodectoma, and angiofibroma is diagnostic and may preclude the need for tissue biopsy. Kidney cyclic AMP content was increased significantly 5 min after injection of prolactin. The urethra was then instrumented successively with a 12 F catheter and a 17 F cystoscope, and a further pressure-flow study recorded after each procedure. Acute effects of a bicyclophosphate neuroconvulsant on monoamine neurotransmitter and metabolite levels in the rat brain.